Individual provider · Type 1 NPI

Theodore Ernest Wilson, MD

Clinical Genetics (M.D.) Physician · Louisville, KY

NPI number 1699035030 Active

Practice location

411 E Chestnut St
Louisville, KY 40202-1713

Call (502) 588-0850 Map

Fax (502) 588-0861

Mailing address

PO Box 776879
Chicago, IL 60677-6789

Other practice locations

  • 2401 W Belvedere Ave, Baltimore, MD 21215-5216 · (410) 601-6308
  • 1002 Wishard Blvd, Indianapolis, IN 46202-4163 · (317) 944-3966
  • 550 University Blvd, Indianapolis, IN 46202-5149 · (317) 944-3966

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X01079354A (IN)
Clinical Genetics (M.D.) Physician 207SG0201X01079354A (IN)
Pediatrics Physician 208000000XP27658 (MD)
Clinical Genetics (M.D.) Physician Primary 207SG0201XTP230 (KY)

Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

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About NPI 1699035030

Theodore Ernest Wilson, MD's National Provider Identifier is 1699035030, issued on May 18, 2012. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in Louisville, KY. The record was last updated on Jul 24, 2026.